904 IMPLANTS AND DENTURES PLLC

JACKSONVILLE, FL
NPI1700549136
Entity TypeOrganization
Authorized ContactWILLIAM RUSSELL
Co Owner
803-665-6998
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2021-10-21
Last Update Date2021-10-21
Business Address
904 IMPLANTS AND DENTURES PLLC
11645 BEACH BLVD STE 101
JACKSONVILLE, FL 32246-8496
Phone number: 904-999-9000
Mailing Address
904 IMPLANTS AND DENTURES PLLC
11645 BEACH BLVD STE 101
JACKSONVILLE, FL 32246-8496
Phone number: 904-999-9000
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